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Pericarditis

Pericarditis. Is an inflammatory disease of the pericardium, directly involving the epicardium. Deposits of inflammatory cells and variable amounts of serous, fibrous, purulent, or hemorrhagic exudates within the pericardial sac. . Electrolyte Imbalance. Hyperkalemia

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Pericarditis

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  1. Pericarditis • Is an inflammatory disease of the pericardium, directly involving the epicardium. • Deposits of inflammatory cells and variable amounts of serous, fibrous, purulent, or hemorrhagic exudates within the pericardial sac.

  2. Electrolyte Imbalance • Hyperkalemia • Excess of serum potassium above normal levels of 3.5 - 5.0 mEq/L • Kidney failure and certain diuretics • Hypokalemia • Deficiency of serum potassium below 3.5 mEq/L • Vomiting, gastric suction, excessive diuretics • Hypercalcemia • Excess of serum calcium above normal levels of 2.1-2.6 mEq/L • Adrenal insufficiency, hyperparathyroidism, immobilization, kidney failure, malignancy, Vitamin A & D intoxication • Hypocalcemia • Shortage of calcium below 2.1 mEq/L • Chronic steatorrhea, Diuretics, Rickets, Pregnancy Respiratory alkalosis, Hyperventilation

  3. Drug Effect • All of the following in a therapeutic range produces characteristic changes in the ECG • Digitalis • to treat CHF, A-fib, A-flutter, PSVT • Procainamide • Antiarrhythmic drug used to treat atrial and ventricular cardiac rhythm disturbances • Quinidine • Antiarrhythmic drug used to control atrial fibrillation

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